HomeMy WebLinkAbout17000030034007_Variances_10-19-1978White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
Owner:Phone No.
Last Name First Middle
/
Street & No.City State Zip No.
ClassLake No. '-5~^ " fLegal Description:Lake Name
)37Sec.Twp.Range Twp. Name.
S'. A'i C 6J. ^ I
If applicant is a corporation, what state incorporated in___
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:Is Applicant a partnership.
yes or no
NAME, ADDRESS AND ZIP NO,NAME, ADDRESS AND ZIP NO.
This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditons found in
what Section of the Ordinance:____
EXPLAIN YOUR PROBLEM HERE:~n> 30''
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._________________________________________
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps.
plans, infvmation about surrounding property^tc. / y n ^
i/
/ Signature of Applicant19.Application dated.. X
—DO NOT USE SPACE BELOW—
19___Date application filed with Shoreland Management Administration.
Both { )Deviation requires: Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By Signature
Date, time and place of hearino @ ^'So AM-. C^OCa iTtlx jG<^ fM/Iirs
19____WITH THE'eIOL LOW!
OlXJuQA ■t
DEVIATION APPROVED this_____
(OR ATTACHED) REOUIREMENTS:
day of_
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S^\Xr-^oJ0-ADYO .
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Signature
Chairman
Otter Tail Planning Advisory Commission
Deviation
Approved this day of.19 . By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
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